KURL AUCTION 2012
Print this page and bring with you when you pick up your items.

PLEASE WRITE OR PRINT PLAINLY:

PHONE NO:

NAME:

STREET:

CITY:

STATE & ZIP:

ITEMS PURCHASED:

QUANTITY

ITEM & NAME

COST/EACH

TOTAL AMT

FOR OFFICE USE ONLY:

TOTAL:

PAID: CASH_______ CHECK_______

Office Personnel's Initials __________